Ungase ukhathazeke ngokungakwazi komfana wakho ukuhoxisa ijwabu lakhe. Noma mhlawumbe nawe uke waba nale nkinga njengomuntu omdala. Ingabe lokhu kuyinto evamile? Ingabe kuyinto okufanele ukhathazeke ngayo? Abantu abaningi banemibuzo ngalokhu. Ngakho-ke namuhla, ake sixoxe kalula nangokucacile ngalesi simo esibizwa ngokuthi 'i-Phimosis'.
Kalula nje, iyini i-Phimosis?
I-Phimosis yisimo lapho ijwabu lepenisi, noma i-glans, lingenakukwazi ukuhoxiswa ngokuphelele kubafana nakubantu abadala abangasokile. Ngezinye izikhathi lingabonakala njengebhande lerabha elizungeze isihloko sepenisi. Ngaphansi kwezimo ezivamile, ijwabu kufanele lihoxiswe kalula ngaphandle kobuhlungu, okuveza i-glans yonke.
Kodwa i-Phimosis ayiyona inkinga ngaso sonke isikhathi. Cishe wonke umntwana wesilisa uzalwa enalesi simo , futhi kuyinto yemvelo kakhulu. Njengoba ingane ikhula, lokhu kuqina kuyanyamalala ngaphandle kokwelashwa futhi ijwabu liba nezimo. I-Phimosis iba yinkinga kuphela uma ibangela izimpawu. Isibonelo, indawo lapho umchamo uphuma khona incane kakhulu, noma ijwabu liqine kakhulu ukuba lingahlanzwa.
Kunezinhlobo ezimbili eziyinhloko ze-phimosis:
Sihlukanisa i-Phimosis ngezinhlobo ezimbili eziyinhloko. Kubaluleke kakhulu ukuqonda umehluko phakathi kwalezi ezimbili.
| Uhlobo lwe-Phimosis | Incazelo elula |
|---|---|
| I-Natural Phimosis (i-Physiologic Phimosis) | Lokhu kuvame kakhulu kubafana. Kujwayelekile ukuthi ijwabu liqine lapho lizalwa. Lokhu kuvame ukunyamalala ngokwalo njengoba ingane ikhula. Asikho isizathu sokwesaba lokhu. |
| I-Phimosis ebangelwa yisimo sezokwelapha (i-Pathologic Phimosis) | Lokhu kubangelwa ukutheleleka, ukuvuvukala, noma izibazi zejwabu. Ezinye izimo zesikhumba, njengesimo esibizwa ngokuthi i-Lichen Sclerosus, zingaba yimbangela enkulu yalokhu. |
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko lwe-phimosis ukungakwazi ukuhoxisa ijwabu. Kodwa-ke, kungase kube nezinye izimpawu eziningana.
- Ukuvuvukala nokubomvu: Uma kukhona ukutheleleka noma ukucasuka okuzungeze ijwabu, kungase kuvuvuke noma kube bomvu, kube nsomi, noma kube nsundu omnyama.
- Ubuhlungu: Ungase uzwe ubuhlungu lapho uthinta ipenisi noma uma nje ibuhlungu.
- I-Dysuria: Ukushisa noma ubuhlungu lapho uchama .
- Umchamo obuthakathaka: Umchamo ungase ube buthaka noma uhlakazeke ngenxa yokuvaleka kwe-urethra.
- Igazi emchameni (i-Hematuria): Ngezinye izikhathi igazi elincane lingadlula nomchamo.
- I-Smegma: Into emhlophe, enoshizi eqongelela ngaphansi kwejwabu. Lona umkhiqizo wemvelo okhiqizwa umzimba, kodwa uma ungelashwa, ungabangela ukutheleleka.
- Ubuhlungu ngesikhathi sokusebenza kocansi: Ubuhlungu obubangelwa ukuqina kwejwabu ngesikhathi sokuma noma ucansi.
Yiziphi izimbangela eziyinhloko ze-phimosis?
I-phimosis yemvelo iyingxenye evamile yokukhula kwengane. Kodwa-ke, kunezimbangela eziningana eziyinhloko ze-phimosis njengesifo sezokwelapha.
- Ukutheleleka: Ukutheleleka ngamagciwane noma ngesikhunta kungabangela ukuthi ijwabu livuvuke, libe nezibazi futhi liqine. Ukutheleleka ngocansi (ama-STI) nakho kungabangela lokhu.
- Ukungahlanzeki ngokwanele: Ukungahlanzi kahle ngaphansi kwejwabu kungabangela ukuthi 'i-Smegma' iqoqeke, okungaholela ezifweni.
- Izibazi: Izinyembezi ezincane ezibangelwa izinto ezifana nokudonsa ijwabu ngamandla kungabangela ukwakheka kwezicubu zesibazi futhi kuqinise ijwabu njengoba liphola.
- Izifo zesikhumba: Ezinye izifo zesikhumba, isibonelo, i-Eczema, i-Psoriasis, i-Lichen Planus, futhi ikakhulukazi i-Lichen Sclerosus, zingabangela ukuthi ijwabu liqine futhi lilahlekelwe ukuguquguquka kwalo, okuholela ku-phimosis.
- Ukulimala: Lesi simo singabangelwa nayikulimala okuthile endodeni.
Into ebaluleke kakhulu ukuthi ungalokothi uzame ukudonsela emuva ngenkani ijwabu lengane. Lokhu kuzolimaza kakhulu kunokuhle. Kungabangela ukulimala okuncane, izibazi, futhi kwenze ijwabu liqine kakhulu kunalokho obekufanele kube ngokwemvelo.
Yiziphi izinkinga ezingaba khona ze-phimosis?
Nakuba i-Phimosis ingeyona inkinga enkulu ezimweni eziningi, ezinye izinkinga zingavela uma zingalashwa.
- Ukuvuvukala nokutheleleka: Ukuvuvukala kwepenis ye-glans (balanitis), ukuvuvukala kwejwabu (posthitis), noma ukuvuvukala kokubili (balanoposthitis) kungenzeka.
- Ukutheleleka komgudu womchamo (UTIs):Ukuvaleka kwendlela yomchamo kwandisa ingozi yokutheleleka kwendlela yomchamo.
- I-Paraphimosis: Lesi yisimo esiphuthumayo sezokwelapha. Lokhu kwenzeka lapho ijwabu lidonswa emuva futhi lingenakudonswa emuva, okubamba i-glans ngemuva kwe-glans. Lokhu kungabangela ukuthi i-glans ivuvuke, ibe buhlungu, futhi inqanyulwe ekuhlinzekweni kwegazi. Uma ingelashwa ngokushesha, kungenzeka umonakalo wezicubu.
- Ingozi yomdlavuza: Akuvamile kakhulu, i-phimosis yesikhathi eside kanye nokutheleleka okungapheli kungandisa kancane ingozi yomdlavuza wepenis.
Yiziphi izindlela zokwelapha i-phimosis?
Uma wena noma ingane yakho nine-phimosis, ningakhathazeki. Kunezindlela zokwelapha ezilula nezisebenzayo zalokhu.
1. Ukwelapha Ngokwemvelo: Njengoba sishilo ngaphambili, i-phimosis yemvelo ezinganeni ezincane ngokuvamile ayidingi ukwelashwa. Izophola ngokwayo njengoba ingane ikhula.
2. Ama-Steroids Akhethekile: Lena yindlela yokuqala yokwelapha ongayizama. Udokotela wakho uzokunikeza ukhilimu okhethekile we-steroid ozofakwa esikhumbeni nsuku zonke. Lo khilimu uzonciphisa isikhumba sesikhumbeni futhi wandise ukuguquguquka kwaso.
3. Ukunweba Okuthambile: Ngesikhathi usebenzisa ukhilimu onemithi, udokotela ukweluleka ukuthi wenze ukuzivocavoca okuthambile, okungenabuhlungu kokudonsa ijwabu emuva. Lokhu kufanele kwenziwe ngokucophelela kakhulu futhi ngaphandle kobuhlungu.
4. Ukuhlinzwa (Ukusoka): Uma ezinye izindlela zokwelapha zingaphumelelanga noma uma i-phimosis inzima kakhulu , udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhilela ukususa lonke noma ingxenye yejwabu ngokuhlinzwa.
Ake siwazi kahle umehluko phakathi kwe-Phimosis ne-Paraphimosis!
Abantu abaningi bayaphambanisa lezi zimo ezimbili, kodwa kunomehluko omkhulu phakathi kwalezi zimo ezimbili, ikakhulukazi maqondana nokuphuthuma.
| Iqiniso | I-Phimosis | I-Paraphimosis |
|---|---|---|
| Isimo | Ijwabu alikwazi ukukhishwa lisuka epenisini ye-glans. | Ijwabu liyadonswa emuva bese linamathela, alikwazi ukudonswa phambili futhi. |
| Ingabe kuyisimo esiphuthumayo? | Ngokuvamile akuyona into ephuthumayo. | Yebo! Kudingeka usizo lwezokwelapha ngokushesha. Lesi yisimo esidinga ukuya e-Emergency Treatment Unit (ETU). |
| Isici esiyinhloko | Ijwabu eliqinile, elingaguquki. | Ukuvuvukala, ukushintsha kombala wepenis ye-glans okuluhlaza okwesibhakabhaka/okumnyama, kanye nobuhlungu obukhulu. |
Kufanele ubonane nini nodokotela?
Uma unokungabaza noma imibuzo ngalokhu, into engcono kakhulu ongayenza ukukhuluma nodokotela. Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ezimweni ezilandelayo:
- Uma usola ukuthi wena noma ingane yakho ine-phimosis.
- Uma kukhona ubuhlungu, ukuvuvukala, noma ukubomvu okuzungeze ijwabu.
- Uma uzwa ubuhlungu noma ubunzima bokuchama.
- Uma uthola izifo njalo ngaphansi kwejwabu.
Yiya e-Emergency Treatment Unit (ETU) ngokushesha!
Ezimweni ezilandelayo, ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Uma ijwabu lingakwazi ukudonswa emuva bese libhajwa (paraphimosis), kuyisimo esiphuthumayo sezokwelapha. Ezimweni ezinjalo, hamba esibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ungakhathazeki nge-phimosis yemvelo cishe yonke ingane yesilisa ezalwa nayo. Izophela yodwa njengoba ingane ikhula.
- Indlela engcono kakhulu yokuvimbela i-phimosis kubantu abadala noma ezinganeni ukugcina inhlanzeko efanele .
- Ungalokothi udonse ijwabu lengane ngenkani nganoma yisiphi isizathu. Lokhu kungenza isimo sibe sibi kakhulu.
- Uma ijwabu lidonswa emuva futhi lingenakudonswa emuva phambili (paraphimosis), kuyisimo esiphuthumayo sezokwelapha . Yiya esibhedlela ngokushesha.
- Uma unemibuzo noma ukungabaza ngalokhu, buza ngokuqinisekileKhuluma nodokotela wakho. Uzothola iseluleko esinembile kakhulu lapho kunokusesha ulwazi ku-inthanethi.
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